Emergency Preparedness Response Course (EPRC) - Clinician Course (8 hrs) (pre- test)

hich of the following is NOT relevant to a laboratory diagnosis of smallpox (variola)?

A positive Tzank smear

Smallpox can spread from one person to another by the following routes:

All of the Above

You are certain that your patient, who is now convulsing from nerve agent exposure, has already received three MARK 1/ATNAA kits and their diazepam. What else should be done?

All the above

What is the comprehensive preparedness required to manage the casualties resulting from the host of possible hazards?

All-hazard Prepardness

What form of ionizing radiation is the least penetrating?

Alpha

Which of the following cell types are least sensitive to ionizing radiation damage?

Cells that divide slowly

A metallic taste in the mouth, epigastric distress, and possible nausea and vomiting are ingestion symptoms for which chemical agent?

Cyanide

What is the role of the liaison officer within the Hospital Incident Command System (HICS)?

Function as the incident contact person for representatives from other agencies.

What directive establishes a single comprehensive national incident management system that allows all levels of government to work efficiently and effectively together?

Homeland Security Presidential Directive-5

Wearing PPE can put the responder at considerable risk both physically and psychologically. Which of the following is NOT considered a risk factor?

Hyperactivity

How is the victim of nerve agent exposure presenting with convulsions classified?

Immediate

An all-hazards approach affects preparedness by allowing communities to:

Increase the speed, effectiveness, and efficiency of incident management.

Pulmonary (choking) agents primarily enter the victim by what means?

Inhalation

A patient was admitted to the hospital suffering from the following symptoms for the last 5 days: fever, malaise, fatigue, and nonproductive cough. Chest x-rays reveal a widened mediastinum and the patient's white blood cell count is elevated. Which type of anthrax is responsible for the patient's symptoms?

Inhalational

A patient suffering blast effect presents with dyspnea, some hearing loss, and tinnitus following an explosion. Which of the following is NOT a likely diagnosis?

Intestinal rupture

What phase is characterized by improvement of symptoms but becomes shorter with increasing doses.

Latent

What level of civilian chemical equipment would healthcare providers don when providing initial medical treatment after an incident but not involved with decontamination?

Level C

An explosion casualty suffering from crush injuries of the lower extremities has been admitted to your hospital with severe hyperkalemia. What emergency treatment is NOT recommended?

Limit fluids.

What blood test is available that will give an accurate estimate of radiation dose?

Lymphocytes count

How is the victim of vesicant (blister agent) exposure with skin burn over less than 5 percent of Body Surface Area (BSA) and minor eye irritation classified?

Minimal

A group of people is presenting with a delayed onset of blisters and a dry productive cough that later turns productive. What is the likely culprit?

Mustard

The decontamination site should NOT be located:

Near waterways and drainage systems

What is the most available explosive agent?

Nitroglycerin

Which phase of CBRN response focuses on the prioritization of forces to deploy for mission task?

Phase II - Response

What form of ionizing radiation can penetrate deeply into body tissue?

Photon

A patient is exhibiting the following symptoms: fever, cough, dyspnea, prominent gastrointestinal symptoms, and absence of buboes. Which form of plague is responsible?

Pneumonic

Which of the following bacterial diseases is contagious person to person?

Pneumonic plague

The Disaster Mental Health Response Team can be called upon to assist victims and disaster responders. Which of the following is NOT a service that they may provide:

Provide professional psychological treatment

What bacterial infection requires confirmation through serological testing since it is difficult to culture the organism (causative agent)?

Q Fever

All of the following are procedures for activating the Hospital Incident Command System (HICS) EXCEPT:

Refer to your Job Action Sheet (JAS) for response duties

Personal Protective Equipment (PPE) is generally divided into two categories. They are:

Respiratory Protection & Chemical Protective Garments

When conducting a medical assessment, what status is checked first?

Respiratory status

Over 20 people who worked together developed cough, excess fluid in their lungs, and difficulty breathing. Chest x-rays show bilateral infiltrates with bronchial aspirates rich in protein. Several died. What was the likely agent?

Ricin

Vesicant (blister) agents include all of the following, EXCEPT:

Sarin (GB)

__________ occurs outside of the incident area when people come in contact with a contaminated person or object.

Secondary Contamination

Penetrating trauma caused by shrapnel is usually attributed to which of the following?

Secondary blast effect

Patient presents with 5-day-old blisters/rash mostly on the arm, face, and hands. No scabs are present. Patient reports fever started several days before blisters appeared. Based on the information would you suspect chickenpox or smallpox?

Smallpox, because the rash is centrifugal on the patient

Victims caught in a fire have inhaled toxic smoke from furnishings and plastics that have released cyanide in the burning process. What precaution/side effects should you be aware of when administering cyanide antidotes?

Sodium nitrite can increase methemoglobin levels, which will decrease blood oxygenation

Processed foods and temperature-abused foods are most commonly associated with ________ poisoning.

Staphylococcal Enterotoxin B (SEB)

Your patient is recovering from injuries sustained in a terrorist incident and is exhibiting stress symptoms. Which of the following is a common behavior reaction associated with severe short-term stress reactions?

Substance Abuse

Cyanide is historically found in the following EXCEPT:

Teflon

What treatment should be given to a patient exposed to T-2 mycotoxins via ingestion?

Therapy for poison ingestion including the administration of super-activated charcoal.

How do nerve agents produce effects in the body?

They inhibit the enzyme Acetylcholinesterase (AChE) allowing Acetylcholine (ACh) to accumulate

Type of decontamination that is carried out by a unit to reduce contamination equal to natural background or to the lowest level possible.

Thorough

Following a nuclear detonation, some of the casualties with survivable injuries are possibly contaminated with radiological material. Which of the below courses of action is most appropriate for the situation?

Treat all life-threatening injuries first.

A group of victims has been admitted to your triage unit. All victims have recently been in an area where canisters exploded spraying them with an amber colored liquid that smells like flowers and burns intensely. You suspect Lewisite. Which of the following is not a consideration during treatment of the victims?

Unroofing of blisters.

Which nerve agent is the most persistent, is very oily, and will stay active in an area for several days?

VX

A secondary explosive device has been spotted. Which of the following options describes how to proceed?

Withdraw at least 50 yards from the scene and tell the Incident Commander (IC) immediately.

The primary toxicity of pulmonary agents is to the ________ and follows __________ of smoke, particles, vapors, or gases.

airways, inhalation

Secretary of Defense has the responsibility to provide defense support to civil authorities when the actions:

are legal

Which of the following is NOT a challenge in gaining access and acceptance?

similar cultural values

Experts anticipate that biological incidents are ________________.

the most likely to occur, and will have the greatest impact on the greatest number of people.

A patient presents to the emergency room all exhibiting the following symptoms: nausea, vomiting, problems with eye movement, dry mouth, sore throat, difficulty swallowing, no gag reflex, and extreme weakness. Patient is alert and oriented during the exam. What toxin do you suspect and how do you treat it?

Botulinum toxin, supportive care and antitoxin.

Which of the following statements does NOT describe Brucellosis?

The brucellae are highly infectious via the aerosol route and brucellosis is associated with a high mortality rate.

ICS has been used to manage incidents such as fires, earthquakes, hurricanes, and acts of terrorism. Which of the following situations represents another viable application for the use of ICS?

The planning and operation of the Central City annual Labor Day celebration, including a parade and fair.

During which post disaster phase do survivors realize that they will need to solve their problems of rebuilding their homes, businesses, and lives and have gradually assumed the responsibility to do so?

Reconstruction/Recovery Phase

How does cyanide cause cell death in the body?

Interferes with anaerobic metabolism of the cell

A nerve gas attack has occurred in one of the city's underground subway stations. This is the second attack this month. After arriving on the scene, a veteran responder, considered a "tough guy" by his team, freezes up and is unable to continue. After talking to him, you determine he responded to the previous attack. What personal situation stressor is this veteran exhibiting?

Prior disaster experience